Active NPIIndividual provider

Poonam Thakore, MD

Pediatrics, Neonatal-Perinatal Medicine in Bridgeport, Connecticut

NPI Number1447612148
Practice location
2800 Main St, Bridgeport, CT 06606-4201
Fax
475-210-5784
Last updated
August 5, 2025

Poonam Thakore is a Pediatrics, Neonatal-Perinatal Medicine based in Bridgeport, CT. Poonam Thakore practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Poonam Thakore is 1447612148 and holds a License No. 62497 (CT). The current practice location address for Poonam Thakore is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 475-210-5310 and via fax at 475-210-5784.

Provider Profile Details

NPI Number
1447612148
Provider Name
Poonam Thakore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2800 Main St, Bridgeport, CT 06606-4201
Phone Number
475-210-5310
Fax Number
475-210-5784
Primary Taxonomy
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2016
Last Update Date
August 5, 2025
Certification Date
July 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
Zip
06606-4201
Phone Number
475-210-5310
Fax Number
475-210-5784
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Hhc-Cvo
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337
Phone Number
860-972-5507
Fax Number
860-972-7040

License Information

License Number (1)
62497
License State (1)
CT
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
036159517
License State (2)
IL
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
036159517
License State (3)
IL
Taxonomy (3)
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Poonam Thakore, MD?

The NPI number of Poonam Thakore, MD is 1447612148. It was assigned on March 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Poonam Thakore, MD?

Poonam Thakore, MD is registered under the primary taxonomy Pediatrics, Neonatal-Perinatal Medicine (code 2080N0001X), licensed in CT under license number 62497.

Where does Poonam Thakore, MD practice?

The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 475-210-5310 (phone) or 475-210-5784 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447612148 directly on the NPPES registry website.

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